| NPI | 1811349012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: FL ME155411) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 301363) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD478736) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2023-08-25 |